Compliance Update

Medical Billing Company Owner Sentenced to 12 Years in Healthcare Insurance Fraud Scheme

A Long Island man who impersonated an NBA player and others to further his complex healthcare insurance fraud scheme has been sentenced to 12 years in prison and ordered to pay restitution of $337 million and forfeit $63 million. Mathew James engaged in a years-long healthcare and insurance fraud scheme in which he and his co-conspirators, including physicians throughout the country, defrauded...

read more

In-person evaluation requirement for the prescription of controlled medications waiver extended to 12/31/24

The outbreak of the COVID-19 pandemic prompted a reevaluation of healthcare regulations, particularly with regard to telemedicine and the prescription of controlled medications. One significant development in this area is the temporary exceptions granted by the Drug Enforcement Administration (DEA) to the Ryan Haight Online Pharmacy Consumer Protection Act of 2008, which governs the prescription...

read more

Clinical Lab owner to pay $13M to settle False Claims Act allegations, faces charges relating to sabotaging competitor’s business

A New Jersey-based clinical laboratory and its owner and CEO, Eric Leykin of New York, have agreed to pay $13 million to settle False Claims Act allegations involving the payment of illegal kickbacks and medically unnecessary lab testing. According to the settlement agreement, Leykin, owner and CEO of RDx Bioscience, perpetuated a healthcare kickback scheme that took place between 2017 and 2023...

read more

Three Found Guilty in Fraudulent Nursing Degree Scheme

Three people have been found guilty in a fraudulent nursing degree scheme the feds dubbed “Operation Nightingale”. Gail Russ, registrar of the Palm Beach School of Nursing in Lake Worth; Cassandre Jean, owner and operator of Success Nursing Review in Brooklyn, New York; and Vilaire Duroseau, owner and operator of the Center for Advance Training and Studies in West Orange, New Jersey were...

read more

How Anti-Abortion Pregnancy Centers in Florida Get Taxpayer Funds with Almost No Oversight

This article was published in partnership with the Miami Herald. To understand the problems with Florida’s oversight of anti-abortion pregnancy centers, you don’t have to look much further than Mary’s Pregnancy Resource Center, north of Miami. The crisis pregnancy center in Broward County steered women away from abortion while providing free pregnancy tests, ultrasounds and parenting classes....

read more

State Farm loses FDUPTA claims against providers

The jury spoke November 8, 2023 in the pending litigation “State Farm Auto. Ins. Co. v. Michael Thomas Larocca, DC, et al,” case number 8:21-cv-2536-SCB-AEP. The 16 Defendants, which included chiropractors, medical doctors, and nurse practitioners were held not guilty of committing fraud, civil conspiracy, unjust enrichment, and violating the Florida Deceptive and Unfair Trade Practices Act...

read more